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Verified against CMS.gov · on Oct 1, 2026 Plan ID: H5262-030 Cross-check on Medicare.gov →

UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP)

Plan Year 2026
$21.10 /month
Monthly Premium
Among the lowest-premium plans in 2026
$615.00 Annual Deductible
990 Drugs Covered
1 States Served

Top Covered Drugs

Most popular medications covered by this plan, ordered by national search frequency. Click any drug to see exact copay, restrictions, and alternatives.

# Drug Name Type Tier 30-Day Copay
1 Diazepam Brand Tier 2 $0.00 Details
2 Warfarin Sodium Brand Tier 1 $0.00 Details
3 PIFELTRO doravirine Brand Tier 5 $0.00 Details
4 ELIQUIS apixaban Brand Tier 3 $0.00 Details
5 Risperidone Brand Tier 4 $0.00 Details
6 Warfarin Sodium Brand Tier 1 $0.00 Details
7 Phenobarbital Brand Tier 4 $0.00 Details
8 Nortriptyline Hydrochloride Brand Tier 4 $0.00 Details
9 Dexamethasone Brand Tier 2 $0.00 Details
10 Nitroglycerin nitroglycerin Brand Tier 2 $0.00 Details
11 ZYKADIA ceritinib Brand Tier 5 $0.00 Details
12 Cilostazol Brand Tier 2 $0.00 Details
13 Medroxyprogesterone Acetate Brand Tier 1 $0.00 Details
14 Nefazodone Hydrochloride Brand Tier 4 $0.00 Details
15 Valsartan valsartan Brand Tier 6 $0.00 Details
16 Imatinib Mesylate Brand Tier 3 $0.00 Details
17 Acarbose Brand Tier 2 $0.00 Details
18 Estradiol Brand Tier 2 $0.00 Details
19 ISENTRESS RALTEGRAVIR Brand Tier 5 $0.00 Details
20 Tiagabine Hydrochloride Brand Tier 4 $0.00 Details

Showing 20 of 990 covered drugs.

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States Served (1)

This plan is available to Medicare beneficiaries in the following states.

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